Individual
AMANDA HODGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4605 CHERRY TREE TERRACE, MONTGOMERY, AL 36106
(850) 982-6126
Mailing address
4605 CHERRY TREE TER, MONTGOMERY, AL 36106-3119
(850) 982-6126
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1456
AL
Other
Enumeration date
03/27/2014
Last updated
03/27/2014
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